|dc.description.abstract||In this quasi-experimental study, the theory of reasoned action was used as a
conceptual framework to assess the outcome effect of a predialysis class. A pretest,
posttest design was used to determine changes in client knowledge about their condition
and its treatment, and their intention, attitudes and social norm towards compliant
behaviours. The related compliant behaviours were following a low-salt diet and taking
medications as proscribed. Thirty-eight End Stage Renal Diseases (ESRD) clients were
self-selected into the treatment or control groups. Both groups received the standard
predialysis education from members of the multidisciplinary renal team. In addition, the
treatment group also attended the predialysis class. Subjects' health locus of control,
anxiety and demographic variables were measured as possible extraneous variables.
Study subjects from both groups demonstrated a high internal and powerful others health
locus of control and a normal range of anxiety. Although not statistically significant ill =
.64), the experimental group demonstrated higher knowledge level and greater intention
to follow a low salt diet UL= .73). They developed more significantly positive attitudes
towards following a low salt diet and increased subjective norm influence after attending
the predialysis class. Attending the predialysis class did not have an effect on subjects'
intentions, attitudes or subjective norm towards taking medications as prescribed.
Conclusion: The predialysis class was only marginally effective in increasing client
knowledge, but influenced clients' attitudes towards following a low-salt diet. Based on
the results, recommendations for improvements to the class have been suggested.||en_US